Online quote form

Your Contact Details

Your Name:
Telephone No:
Mobile No:
Email:

Your Current Insurance Details:

When would you like your policy to start?
Current policy expiry date:
Who is your current Insurer:
If ‘other’ who is your current insurer?
What is your renewal or expiry premium?
What is your target premium?

Enter the code shown above:

Claims

Have you had any accidents, claims or losses within the last 5 years?

Yes No

If No, continue to the page. If Yes, Please provide the following details

Road Risks

Date of Loss	Name of the Driver	Details	Amount

Property & Liability

Date of Loss	Type of Claim	Details	Amount

Your Business Details

Business Name:
Business Address:
Do you trade from your home?	Yes No
Year business was established:
Annual Turnover: £

Split in activities:

Activity	% age
Auto Electrical
Body Repairs
Bus / Coach Operators
Car wash
Fuel Sales
Full Spraying
Haulage
MOT Stations
Manufacturing Specialist Bodywork
Mechanical Repairs & Servicing
Mobile Repairs
Motor Accessory Fitting
Motor Brokers
Private Hire
Racing & Rally Preparation
Recovery Work
Sale of commodities (Sweets, Foods, papers)
Sale of parts & accessories
Self Drive Hire
Touch-Up Spraying
Tyre/Battery/Exhaust Fitting
Valeting
Vehicle Breaking/Dismantling
Vehicle Delivery
Vehicle Import/Export
Vehicle Leasing
Vehicle Manufacturing
Vehicle Sales - New
Vehicle Sales - Used
Windscreen/ Sunroof Fitting

Types of vehicles regularly handled:

Type of Vehicles	% age
Agricultural Vehicles
Caravans
Cars & Commercial vehicles less than 7.5t
Classic Cars
Commercial vehicles over 7.5t
Kit Cars
Minibuses & Coaches
Motorcycles
Other Specialist Vehicles
Sports & High Performances
Trailers

The cover required:

Property Damage

Business Interruption

Loss of MOT Licence

Goods in Transit

Money

Wrongful Conversion

Employers and Public Liability

Defective Workmanship/Sales Indemnity

Engineering Inspection

Road Risks

Property Damage

Risk Address:
Cover is automatically on an ‘All Risks’ basis including accidental damage, theft and glass cover.
Cover does not automatically include Terrorism - Click if you would like this to be included.	Terrorism
Standard excess level is £250 (other than subsidence £1,000) - would you like to increase this to obtain a premium discount?	Yes No
If No, continue to the next page. If Yes, Please select required excess level:
Sums Insured:
Buildings: £
Do you require subsidence cover?	Yes No
Tenants Improvements £
Machinery, Plant, Fixtures & Fittings £
Computer Equipment at the premises £
Portable Computer Equipment (anywhere in the world) £
Portable Hand Tools £
Stock (ex vehicles) £

Attractive stock – Our policy automatically includes up to £2,500 in respect of these items.

Attractive stock includes: Wines and Spirits Tobacco, Cigarettes and Cigars Video Tapes, CD’s and DVD’s Audio and Satellite Navigation Equipment Clothing, Helmets and Leathers Tyres
Do you need to increase this limit?	Yes No
If No, continue to the next page. If Yes, Please confirm the limits required:
Wines and Spirits £
Tobacco, Cigarettes and Cigars £
Video Tapes, CD’s and DVD’s £
Audio and Satellite Navigation Equipment £
Clothing, Helmets and Leathers £
Tyres £
Customers Goods £
Own vehicles £
Customers vehicles £
Contents of Customers vehicles £

Business Interruption

Estimated Annual Gross Profit for the next 12 months £
Indemnity Period Required:

Loss of MOT Licence

Annual MOT Test Fee Income £

Goods in Transit
Cover provided automatically for up to £2,000 stock, components or portable hand tools in transit.

Do you wish to increase this limit?	Yes No
If Yes, Please Specify limit required £
Please confirm number of vehicles used for transporting such goods:
Do you require cover for transportation of your own or customers vehicles?	Yes No
If Yes, Sum insured required:
Number of vehicles used for carrying vehicles:
Maximum number of vehicles carried at any one time:

Money

Estimated annual amount of cash in transit to and from the bank £

The standard limits are as shown. If you need to increase these limits, please state the limit required:

	Standard Limit	Required Limit
Non-Negotiable Money (Cheques etc)	£250,000
Cash in Transit & During Business Hours	£3,000
Cash in Safe outside Business Hours	£3,000
Cash not in a Safe outside Business Hours	£500
Cash with Fuel Sales Staff at night	£500
Cash in private dwelling of insured or employee	£250
Unused vehicle excise licences	£2,000
Personal Accident Assault	£10,000 Capitals/ £100 pw

Wrongful Conversion

Indemnity Limit:
Turnover in relation to second hand car sales £

Employers Liability/Public Liability
Employers Liability - Limit of Indemnity £10,000,000 (standard limit)
Public Liability - Limit of Indemnity £5,000,000 (standard limit)

Estimated Annual Wages for the next 12 months:

	No	Partners/Directors	No	Employees
Clerical, secretarial, admin and sales
Pump attendants & fuel cashiers
Mechanics, fitters & all other manual

Defective Workmanship / Sales Indemnity

Limit of Indemnity £5,000,000 (standard limit)
Do you require cover for Sales Indemnity only?	Yes No

Engineering Inspection

Equipment breakdown cover is provided as standard under our policies. Optional statutory inspection cover can be added as follows: -
Statutory lifting, boiler and pressure plant
Statutory lifting, boiler and pressure plant and local exhaust ventilation plant (LEV)

Road Risks

Cover required:
Do you have any Motor Trade no claims bonus?	Yes No
Number of years No Claims Bonus:
Standard excess level is £250 - would you like to increase this to obtain a premium discount?	Yes No
If Yes, Please select required excess level:

Are any of the following cover extensions required:

Windscreen Cover (Comprehensive only)

Loan & Hire Cover (Courtesy cars)

Accompanied Demonstration

Unaccompanied Demonstration

Social, domestic and pleasure use by named relatives and friends

Un-named relatives and friends of directors or partners

Additional Business Use

Drivers Details:

Name	Age	Relationship	Use

Vehicle Details
Please provide details of all vehicles owned by or leased to the business:

Make	Model	Reg Number	CC / GVW	Value

Business Questionnaire
In order for us to obtain the best possible premium and terms on your behalf, we do require your confirmation of a few business related statements. Please spend a couple of minutes checking that the following assumptions are correct. If not, please correct the answers where appropriate.
General:
Have you or any director or partner of the business:

1. Had any convictions, criminal offences or prosecutions pending other than motoring convictions?	Yes No
If Yes, please provide details
2. Ever been declared bankrupt/insolvent, or the subject of bankruptcy proceedings including CCJ’s?	Yes No
If Yes, please provide details
3. Ever had an insurance proposal refused or declined, or ever had an insurance cancelled, renewal refused or had special terms imposed?	Yes No
If Yes, please provide details

Drivers:

1. Have any drivers to be insured had any minor convictions within the last 3 years?	Yes No
If Yes, please provide details for the following:

Driver Name	Date of Conviction	Conviction Code

2. Have any drivers to be insured had any major convictions within the last 5 years?	Yes No
If Yes, please provide details for the following:

Driver Name	Date of Conviction	Conviction Code

3. Have any drivers to be insured been banned from driving within the last 5 years?	Yes No
If Yes, please provide details for the following:

Driver name:	Date of Ban:	Length of Ban:

Premises:

1. Are the premises of standard construction (constructed of brick, stone or concrete and roofed with slates, tiles, concrete, metal or asbestos)?	Yes No
If No, Please confirm construction of:
Walls:
Roof:
2. Are the premises solely occupied by your business?	Yes No
If No, Please confirm other occupants, including their business activities, and details of level of separation:
3 .Heated by Low Pressure Hot Water or Steam, fixed oil fire space heaters fed from a fuel tank in the open, overhead gas or fixed electrical appliances?	Yes No
If No, Please provide details of heating method:
4. Has the electrical system been inspected in the last 5 years and been certified IEE (or equivalent) compliant?	Yes No
If No, Please provide the date of when last checked:

5. Has an intruder alarm been installed?	Yes No
If Yes, Please select type of alarm:
Do you have sole control of the alarm?	Yes No
Name of alarm installer:
What is the current level of police response:
6. Do the premises have any other security protections - CCTV, Perimeter Fencing, Vehicle compound etc?	Yes No
If Yes, Please provide details:

7. Are portable hand tools locked away outside business hours?	Yes No
8. Has a fire alarm been installed?	Yes No
If Yes, Please select type of alarm:
9. Do the premises have a sprinkler installation?	Yes No
10. Are all vehicles kept in a locked building outside business hours?	Yes No
If No, Please confirm where vehicles are kept outside business hours and security in place:

11. Do you do any spraying?	Yes No
If Yes, How often is spraying undertaken?
Is there an enclosed spray booth?	Yes No
If No, How and where is spraying done?
12. Is welding or heat work undertaken?	Yes No
If Yes, What method of heat is used?
Percentage of heat work to the total:
Is heat work undertaken well away from combustibles and other vehicles?	Yes No
13. Are there any flammables stored or used in any trade process?	Yes No
If Yes, What type of flammables?
Quantity:
How are the flammables stored?

14. Do you undertake any customising or modification of vehicles/engines?	Yes No
15. Do you import or export?	Yes No

Thank you for taking the time to complete this form - our dedicated team will get a quote to you within 24 hours

Garage Cover